A treatise on orthopedic surgery . Degenerative arthritis ; moderate degree. Photomicrograph of the phalangealjoint and adjacent phalanges. The line of the joint cavity is very irregular (1) ;the cartilage has been almost entirely destroyed and shows only at the marginsof the joint (2, 2) ; the articular surface of the phalanges where the cartilagehas been destroyed is eburnated (3, 3). There has been a new growth of boneat the periphery of the joint (beginning Heberdens node) (4). (Nichols andRichardson.) operative removal of unsightly deposits about joints may beconsidered also. The general
A treatise on orthopedic surgery . Degenerative arthritis ; moderate degree. Photomicrograph of the phalangealjoint and adjacent phalanges. The line of the joint cavity is very irregular (1) ;the cartilage has been almost entirely destroyed and shows only at the marginsof the joint (2, 2) ; the articular surface of the phalanges where the cartilagehas been destroyed is eburnated (3, 3). There has been a new growth of boneat the periphery of the joint (beginning Heberdens node) (4). (Nichols andRichardson.) operative removal of unsightly deposits about joints may beconsidered also. The general treatment of the patient is ofcourse of the first importance. Rheumatism.—Certain forms of rheumatism, so called, areof interest from the orthopedic standpoint, notably those forms 294 OBTHOPEDIC SUBGEBY. that affect the fibrous tissues and that lead to permanent changesin the joints— plastic rheumatism. Undoubtedly monarticu-lar arthritis is usually due to direct infection from without, as Fig. Proliferative artliritis: extreme type. Photomicrograph of section throughphalangeal joint. The trabeculae of the phalanges are less numerous thannormal; the capsule is slightly thickened : the joint cavity is much reduced insize by extension inward of dense, fibrous tissue from the synovial membrane-at the point indicated by the circle: this fibrous pannus is adherent to bothJoint cartilages, producing adhesion and loss of motion without destruction ofthe underlying cartilage. (Nichols and Richardson.) Fig. 203.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
